National Provider Identifier Database

CRUSADERS CENTRAL CLINIC ASSOCIATION
Federally Qualified Health Center (FQHC)

A Federally Qualified Health Center (FQHC) is a community-based organization that provides comprehensive primary care and preventive care, including health, oral, and mental health/substance abuse services to persons of all ages, regardless of their ability to pay or health insurance status.


Contact Information

CRUSADERS CENTRAL CLINIC ASSOCIATION
245 PRAIRIE HILL RD
SOUTH BELOIT, IL61080-2579
Phone: 815-490-1600
Fax:
Website:
Specialty Taxonomy Code
* Federally Qualified Health Center (FQHC) 261QF0400X

* Indicates primary specialty

NPI Profile & details for CRUSADERS CENTRAL CLINIC ASSOCIATION

NPI Number 1811419245
Legal business name
LBN
CRUSADERS CENTRAL CLINIC ASSOCIATION
Authorized official SAMUEL MILLER - (PRESIDENT & CEO)
Entity Organization
Organization subpart Yes
Enumeration date 07/07/2017
Last updated 08/24/2022 - About 4 years ago
Sole proprietor1 Not specified
Identifiers n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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